NPI age
20 years
Enumerated 2005-07-01
Across 1881 active specialist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 140466XX | PHCS,PREFERRED CARE |
| 01 (GA) | 52864485 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 00916253A |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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